Provence registration

How do I register?

Contact us at info@musicandmarkets.com or 703/675-1529 with any questions. Payments are made by check or via PayPal* where you can pay with credit card (for a fee). Please print this entire form, complete it, then email or send it and your deposit check (if using that method of payment) made out to Statement Solutions Worldwide, Inc., the parent company of Music and Markets to us at the above email or the following address:

Music and Markets Tours
11621 Clubhouse Court
Reston, Virginia 20190


Click printer icon to print registration form:

Music and Markets Provence Aug. 4-11, 2018

Name(s):

Address:

Telephone:

Email:

Number of participants registering (Must be valid for at least three months beyond your planned date of departure from the Schengen area):

Passport No. and date(s) of expiration:



Circle your preference: Double Occupancy Single Occupancy

Circle your room type preference: Double bed Single bed Single willing to share a room (If no other sharer chooses the week you’ve chosen, you must pay the single supplement.)

Include $1200 for each single or double occupancy registration for a total of $________________

Circle one:

I will send the remainder per single occupancy of $3050 for a total of $4250 per person by June 5, 2018.

I will send the remainder per person double occupancy of $2899 for a total of $4099 by June 5, 2018.

Further Information or special requests: Please mention any special dietary requirements or other information you think we need to know.

RESPONSIBILITY AND RELEASE OF LIABILITY:

There are certain risks and dangers in traveling on any tour, and in a foreign country. We strongly recommend that you review your medical and personal insurance and supplement it if necessary. Guests must be at least 18 years old, except for teenagers accompanied by their parents. Music and Markets may occasionally be forced to cancel a week of a tour if there are too few participants. In this case our liability would be limited to a full refund of the reservation deposit and fees paid or the offer of an alternate tour date. Any physical disability requiring any special attention must be reported when the reservation is requested. Neither Statement Solutions Worldwide, Inc. nor Music and Markets assume responsibility for any claim of damages, expenses, or liability for any claims, injury, delay, inconvenience, loss or damage to person or property or additional costs resulting directly or indirectly from causes that include but are not limited to any fire, acts of government, theft, delays, cancellations, weather, vehicle traffic, strikes, illness or accident incurred in any manner including transportation by plane, bus, car, van, taxi, train, boat, or other conveyance. Music and Markets is not liable for modifications to the itinerary or inconveniences due to strikes, weather, cancellations or any other circumstances that could disturb in the carrying out of any arrangements.
Music and Markets reserves the right to charge a $100.00 late payment fee if full payment is not paid by the due date, and to cancel the reservation without any refund if payment is 10 days past due. Music and Markets reserves the right to alter the itinerary. Music and Markets reserves the right to accept or decline, and to cancel the tour for any participant(s) at any time should such person’s health, mental conditions, physical infirmity, or general deportment impede the operation of the tour or the welfare or enjoyment of other guests. In such event there will be no refund, and no reimbursement for any additional expenses incurred by a participant whose tour has been canceled. If a guest causes any damages, he/she is the sole person responsible for payment. Music and Markets reserves the right to take photos or films during the tour, and to use the photos for promotional purposes. Guests who prefer that their image not be used are asked to include that information in this reservation request above under Additional Information. Payment of your deposit or full payment represents your agreement to all the Terms and Conditions, and by signing the reservation form you are signing a release of liability.
By submitting this reservation request, I/we state agreement to the Terms and Conditions listed above and that I/we have read and understand and agree to all the information on the page titled, What are the costs and what’ s included? and will abide by the cancellation and refund policies.



Name



Signature



Date



Name



Signature



Date



Click printer icon to print registration form:

Share on FacebookTweet about this on TwitterShare on Google+Share on LinkedInEmail this to someone